Treatment and prevention of frontal sinusitis after cerebral frontal sinus surgery
10.3760/cma.j.cn115455-20220414-00300
- VernacularTitle:经额入路额窦开放后额窦炎的治疗与预防
- Author:
Tengfei ZHANG
1
;
Qingzhe YANG
;
Gang CUI
;
Yeshuai HU
;
Bin WU
Author Information
1. 首都医科大学三博脑科医院神经外科，北京 100093
- Keywords:
Trans-frontal approach;
Frontal sinusitis;
Prognosis
- From:
Chinese Journal of Postgraduates of Medicine
2022;45(8):709-712
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the cause of frontal sinusitis and the prevention methods after opened frontal sinus in the trans-frontal approach surgery.Methods:Retrospectively analyze 18 cases of frontal sinusitis secondary to the trans-frontal approach surgery in Sanbo Brain Hospital, Capital Medical University from January 2016 to December 2020. The main symptoms include headache, stuffy nose, skin redness and skin abscess in frontal. The mean history was 3.2 years, all the patients were performed surgical treatment, including 5 patients undergone trans-nasal trans-sphenoid sinus operation, 14 patients undergone debridement surgery following the original surgical approach. The cause of frontal sinusitis were analyzed statistically.Results:All the patients were totally cured post operation, the standard included no frontal sinus inflammation symptoms, no imaging characters of frontal sinusitis.Conclusions:Proper management of opened frontal sinus in trans-frontal approach is very important for preventing the frontal sinusitis. Completely remove the frontal sinus mucosa, avoid using bone wax, chemical glue stuffing, which can effectively prevent the frontal sinusitis.
